First, add 1.5 milliliters of 60% iodixanol to the 1.5 milliliters of the sucrose/Tris buffer that contains the EVs to create a final solution containing 30% iodixanol. Pipette up and down several times to mix the solution thoroughly.
Transfer this solution to the bottom of a 5.5-milliliter ultracentrifugation tube. Next, mix the 60% iodixanol stock with ultrapure water to prepare at least 1.5 milliliters of both a 20% and a 10% iodixanol solution.
Using a syringe and an 18G needle, measure 1.3 milliliters of the 20% iodixanol solution and carefully layer it on top of the bottom gradient.
Keep the bevel of the needle in contact with the inside of the tube just above the meniscus and add the solution dropwise to avoid mixing the layers at the density interface.
Then, layer 1.2 milliliters of the 10% iodixanol solution on top of the 20% layer using the same technique. Carefully balance and load the ultracentrifugation tubes into rotor buckets.
Set the acceleration and deceleration speeds of a swing bucket rotor to the minimum rates and centrifuge at 268,000 x g and at 4 degrees Celsius for 50 minutes.
While the sample is being centrifuged, label ten 1.5-milliliter microcentrifuge tubes for each sample that will correspond with fractions 1 through 10 of the density gradient.
Once the centrifugation is complete, gently remove the tubes from the rotor buckets and place them into a stable holder. Pipette 10 serial fractions of 490 microliters from the top of the gradient into the corresponding tubes.
Using a refractometer, measure the refractive indices of the fractions. Then, transfer each fraction to a clean 12-milliliter ultracentrifugation tube.
Add 5 milliliters of 1x PBS to each tube and pipette up and down slowly to mix. Add an additional 6 milliliters of 1x PBS to the top of the tube and carefully mix again.
Ultracentrifuge the tubes at 100,000 x g and at 4 degrees Celsius to re-pellet the small vesicles. Decant the supernatant and tap the tubes dry before lysing the vesicles for protein analysis or resuspending the EVs for morphologic analysis.
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